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NPI Code Detail

MEDICARE: TIFFANY NICOLE TAYLOR

MEDICARE: TIFFANY NICOLE TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH
2104100000XSocial WorkerS.2605101-TRNEOH

General Provider Information

NPI Number : 1538096557
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY NICOLE TAYLOR
Provider Business Mailing Address
First Line : 1590 CRESTVIEW DR
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3560
Country : US
Telephone Number : 419-289-0970
Fax Number :
Provider Business Practice Location Address
First Line : 1590 CRESTVIEW DR
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3560
Country : US
Telephone Number : 419-289-0970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 06/24/2026

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Directions to “ TIFFANY NICOLE TAYLOR ” Practice Location

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